| NPI | 1083091656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001209359) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2024-05-28 |