| NPI | 1285247437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN262545) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA 2020042053) | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2024-05-02 |