| NPI | 1982578647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5023226) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1218358) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024195545) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 5023226) | |
| 2084P0805X (Licence: NC 5023226) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 5023226) | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2026-06-28 |