| NPI | 1750190575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192929) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001243691) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2026-01-22 |