| NPI | 1114533346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN279407) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2025-04-17 |