| NPI | 1477937787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007766) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-01-04 |