| NPI | 1851852826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G173001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A154202) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-03-12 |