| NPI | 1063173631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500002176) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA RN2281236) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2281236) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R258205) | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2024-01-03 |