| NPI | 1154218782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 30619) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 106112) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-08-08 |