| NPI | 1598392375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC F12190403) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 2022091499) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-08-12 |