| NPI | 1669915690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP03119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-03119) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2026-06-16 |