| NPI | 1285936500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168930) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024168930) |
| 363L00000X Nurse Practitioner (Licence: VA 0024168930) | |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2024-08-15 |