| NPI | 1033471891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1045959) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1045959) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R228820) | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2024-01-22 |