| NPI | 1902057177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD r122619) |
| Additional Taxonomies | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MD R122619) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R122619) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2026-03-12 |