| NPI | 1225381437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177886) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95011573) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024177886) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011573) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-08-23 |