| NPI | 1134914831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G184175) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA G184175) |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-08-04 |