| NPI | 1639645542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 078827-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 078827-23) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-05-28 |