| NPI | 1053801654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC006094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175798) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175798) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-02-21 |