| NPI | 1154118206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193785) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001304571) |
| 363L00000X Nurse Practitioner (Licence: VA 0024193785) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193785) | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-07-29 |