| 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 |