| NPI | 1356735971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172402) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001498) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2026-02-25 |