| NPI | 1578978847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024171647) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024171647) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: VA 0024171647) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2021-04-09 |