| NPI | 1376011346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176207) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176207) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176207) | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2025-06-20 |