| NPI | 1053801894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-130501) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MT NURAPRNLIC130501) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 130501) | |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2025-02-11 |