| NPI | 1538777529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27686) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179782) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27686) | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-27 |