| NPI | 1316057029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 002417802) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: FL ARNP9184850) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-01-26 |