| NPI | 1841722139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 408631) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX F0117137) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-05-29 |