| NPI | 1053781005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192271) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001236457) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2025-08-20 |