| NPI | 1972954139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R187467) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R187467) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-05-13 |