| NPI | 1609894179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0017138097) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0015000715) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-10-05 |