| NPI | 1972367035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 252992) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2025-04-24 |