| NPI | 1083250500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192940) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013270) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95034407) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192940) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95034407) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5013270) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2025-09-26 |