| NPI | 1932155017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001135217) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167348) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0015000834) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-10-07 |