| NPI | 1649370149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 005001750) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 081544) |
| 163W00000X Registered Nurse (Licence: VA 0001073476) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024073476) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0015000194) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2013-10-30 |