| NPI | 1326521543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28201) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 0000Intern) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-04-15 |