| NPI | 1336618719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95030769) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3015313) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176782) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-09-09 |