NPI | 1518453760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175930) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024175930) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024175930) | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2024-08-20 |