| NPI | 1649884065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 2023057623) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 246767) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2026-01-02 |