| NPI | 1831308964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167440) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001072656) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0015000278) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-11 |