| NPI | 1851686356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184118) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP01797) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20240) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 01797) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2022-08-30 |