| NPI | 1003543984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184767) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 350991) |
| 363L00000X Nurse Practitioner (Licence: MA RN2376097) | |
| 363L00000X Nurse Practitioner (Licence: MD AC004987) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184767) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2023-04-01 |