| NPI | 1336751734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2020043725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001195297) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185558) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-06-26 |