| NPI | 1841841624 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G185358) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A156607) | 
| Enumeration Date | 2019-09-24 | 
| Last Update Date | 2025-10-05 |