| NPI | 1841484060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024167500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024167500) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2017-01-06 |