| NPI | 1386392355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 239755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 239755) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2025-07-02 |