| NPI | 1649391418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001172521) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-03-31 |