| NPI | 1386018760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175122) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: VA 0015000927) |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2023-01-25 |