| NPI | 1487747572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024166381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001153930) |
| 363L00000X Nurse Practitioner (Licence: VA 0024166381) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2024-08-27 |