| NPI | 1891160529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: LA AP08560) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP08560) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2025-08-11 |