| NPI | 1578541272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024165540) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2008-07-23 |