| NPI | 1396818795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 024168508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201156) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 161246) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-12-11 |