| NPI | 1407810484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024166300) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024166300) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166300) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2025-11-20 |