| NPI | 1740929272 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189353)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-4042)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000748)  | |
| Enumeration Date | 2022-06-02 | 
| Last Update Date | 2024-11-21 |