| NPI | 1013327949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006724) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006724) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-06-20 |