| NPI | 1821547027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174047) |
| 163W00000X Registered Nurse (Licence: VA 0001230676) | |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2026-01-08 |