| NPI | 1104576271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN308216) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019371) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-5100) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-03-18 |