| NPI | 1336651504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175453) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0017144472) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2022-03-09 |