| NPI | 1942854302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001236550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006412) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500009754) | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-04-15 |