| NPI | 1336907666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28915) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020273) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2607) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-03-23 |