| NPI | 1528699675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 65770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178413) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2025-12-06 |