| NPI | 1922717495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R197825) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN1705) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010590) | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2025-12-13 |