| NPI | 1124681507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC HENR-3A29T) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP020676) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027709) | |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2025-12-02 |