| NPI | 1649894080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024179686) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024179686) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-08-20 |