| NPI | 1952503690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024193201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 124773) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 124773) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-07-07 |