| NPI | 1184016859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172310) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172310) | 
| Enumeration Date | 2015-03-04 | 
| Last Update Date | 2023-03-11 |