| NPI | 1912783077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001278258) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-01-05 |