| NPI | 1740828417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178396) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0024178396) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2024-04-01 |