| NPI | 1982230959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209579) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 23832) | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2025-09-11 |