| NPI | 1962919209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 21547) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 21547) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21547) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2025-11-25 |