| NPI | 1376372524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 881670) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NV 2024059237) |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2025-09-15 |