| NPI | 1952705253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA SP028417) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013654) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2025-08-22 |