| NPI | 1528384245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024090153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001090153) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024090153) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0015000373) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2024-07-16 |