| NPI | 1154466241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 001713519) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 001713519) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-02-11 |