| NPI | 1447271069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001198847) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-07-31 |