| NPI | 1588277529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID F06200379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID F06200379) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-08-20 |