| NPI | 1487479440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001283338) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0001283338) |
| 163WA2000X Registered Nurse, Administrator (Licence: VA 0001283338) | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-10-02 |