| NPI | 1780321182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN308971) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184695) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0138130TELE) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1088429) | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2025-12-09 |