| NPI | 1902343189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174441) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174441) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024174441) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2024-05-16 |