| NPI | 1982942256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170456) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2025-02-10 |