| NPI | 1538997283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R814811) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R184811) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-02-04 |