| NPI | 1316563711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024179540) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001198154) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179540) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-02-24 |