| NPI | 1821928300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 343052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2021020930) |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-08-03 |