| NPI | 1710759105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 897343) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 906541) |
| 163W00000X Registered Nurse (Licence: MS 897343) | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2025-08-19 |