| NPI | 1972210250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R256672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R256672) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-03-07 |