| NPI | 1144060393 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021393)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 207095)  | 
| Enumeration Date | 2024-05-27 | 
| Last Update Date | 2025-01-14 |