| NPI | 1629139878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024169372) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001160085) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169372) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-03-27 |