NPI | 1831638923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024174582) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024174582) |
Enumeration Date | 2017-02-22 |
Last Update Date | 2025-07-15 |