| NPI | 1689187205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175263) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003087) |
| 363L00000X Nurse Practitioner (Licence: VA 0024175263) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-03-20 |