| NPI | 1528609880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 8685977-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 8685977-4405) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2025-08-05 |