| NPI | 1972925550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11046251) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 201547) |
| 163W00000X Registered Nurse (Licence: MO 2009024224) | |
| 163W00000X Registered Nurse (Licence: FL RN9318530) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2026-03-23 |