| NPI | 1972282861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188260) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 841297) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC006467) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-12-12 |