| NPI | 1407812811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165938) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024165938) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2023-10-31 |