| NPI | 1831593466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC001416) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2025-01-13 |