| NPI | 1629968367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024194902) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC008167) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 318905) | |
| Enumeration Date | 2025-07-05 |
| Last Update Date | 2025-10-02 |