| NPI | 1235810276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R179190) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R179190) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |