| NPI | 1154136133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95035934) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15426000) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192414) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407158) | |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-10-30 |