| NPI | 1457903205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC005358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005359) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178180) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178180) | |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-05-02 |