| NPI | 1407404452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030830) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030830) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178002) | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2026-03-09 |