| NPI | 1417771502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 116137) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NE 71971) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-07-06 |