| NPI | 1700113156 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9636) | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS R864520) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126125) | |
| Enumeration Date | 2009-11-05 | 
| Last Update Date | 2025-05-21 |