| NPI | 1013200484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R137135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R137135) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN66925) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2023-07-18 |