| NPI | 1780787895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165434) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: VA B091304106) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0001078773) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0015000150) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-06-03 |