| NPI | 1942914239 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10026637) | 
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28204440A) | 
| Enumeration Date | 2023-01-11 | 
| Last Update Date | 2025-07-18 |