| NPI | 1851531263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R128365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R128365) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R128365) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2025-10-15 |