| NPI | 1528442522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172483) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172483) |
| 163W00000X Registered Nurse (Licence: VA 0001202519) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2025-11-04 |