| NPI | 1467966739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R205638) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2023-05-23 |