| NPI | 1265103089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R221458) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MD R221458) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-11-18 |