| NPI | 1215749767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NC 5021660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5021660) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-10-13 |