| NPI | 1841841624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G185358) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A156607) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-07-04 |