| NPI | 1255983789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R198705) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R198705) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-10-26 |