| NPI | 1902113418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 633226) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2022-05-16 |