| NPI | 1124341888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001199865) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0001199865) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2024-08-13 |