| NPI | 1902317951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL 9294784) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9294784) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2025-04-22 |