| NPI | 1831575026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024173569) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024173569) |
| 163W00000X Registered Nurse (Licence: VA 0001208365) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2023-04-06 |