| NPI | 1952347734 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 048877-23)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 048877-23-05)  | 
| Enumeration Date | 2006-06-21 | 
| Last Update Date | 2024-11-27 |