| NPI | 1184249393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R266408) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181482) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013273) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2026-04-06 |