| NPI | 1447661871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001184299) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2025-01-10 |