| NPI | 1669726659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170600) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2024-02-13 |