| NPI | 1083960272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001504) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170155) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC001504) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2023-12-06 |