| NPI | 1720624448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3044) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: HI RN-41860) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2026-05-12 |