| NPI | 1033003603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001322539) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-10-02 |