| NPI | 1154861276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2017002508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0134145) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2026-07-01 |