| NPI | 1194183384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024185922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001225093) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2024-09-25 |