| NPI | 1720572357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1130565) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176357) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2021102568) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018833) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2024-02-13 |