| NPI | 1225498900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 038541-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 038541-21) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2025-07-30 |