| NPI | 1710051628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R27009) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R27009) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2026-06-15 |