| NPI | 1639303340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A03243 ANP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR A003243) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2025-05-28 |