| NPI | 1982417036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11493829-4405) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: SD R054165) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2026-08-13 |