| NPI | 1881766780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167415) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0015000473) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167415) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-05-20 |