| NPI | 1346451093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010273) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA RN 235426) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-05-05 |