| NPI | 1407491095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD R244078) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178472) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178472) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R244078) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2025-12-29 |