| NPI | 1144885849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 66507) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24177579) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 66507) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 24177579) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2022-05-05 |