| NPI | 1922869494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704331111) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407689) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0041500) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15452900) | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2026-03-01 |