| NPI | 1841008034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A187038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 163751) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G187037) | |
| 163W00000X Registered Nurse (Licence: MN 2473801) | |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2026-01-13 |