| NPI | 1982062758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008340) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008340) |
| 363L00000X Nurse Practitioner (Licence: NC 5008340) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2025-09-26 |