| NPI | 1265085286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28197644A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184913) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2025-09-23 |