| NPI | 1417847385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-265816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 85326) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-17 |