| NPI | 1487494175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 120187) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD ACOO7144) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190704) | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2025-03-25 |