| NPI | 1730782319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001267203) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0024186655) | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-12-06 |