| NPI | 1477009918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001231859) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024173640) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-01-14 |