| NPI | 1831642438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001275652) |
| 163W00000X Registered Nurse (Licence: WA RN 60141168) | |
| 163W00000X Registered Nurse (Licence: CT 227652) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 14226) | |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2025-08-02 |