| NPI | 1871172254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 24841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24841) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24841) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-10-24 |