| NPI | 1982731154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024122345) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0024122345) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-05-24 |