| NPI | 1639477425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 766681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 766681) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2026-02-24 |