| NPI | 1699603290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 11307611-3102) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408920) |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-07-25 |