| NPI | 1881169415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R200143) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1035308) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-10-30 |