| NPI | 1306976402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170219) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA no licensing) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001229549) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-01-09 |