| NPI | 1255098745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183426) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024183426) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-02-04 |