| NPI | 1295252377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5009831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 246025) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC PMH07250026) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-07-21 |