| NPI | 1063163020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1040488) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1040488) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183214) | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-07-15 |