| NPI | 1699465575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10029585) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC007753) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500019192) | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2025-10-02 |