| NPI | 1376048348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R221196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180406) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R221196) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024180406) | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-01-10 |