| NPI | 1164796249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 004873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 4873) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2025-07-25 |