| NPI | 1336686245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024177723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001193022) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177723) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024177723) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-10-19 |