| NPI | 1033598636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G124969) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A124969) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2026-07-23 |