| NPI | 1609258946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001220246) |
| 163W00000X Registered Nurse (Licence: DC 1017196) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002763) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-08-31 |