| NPI | 1730566795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 1730566795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172543) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2025-01-01 |