| NPI | 1073108197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1037800) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R216096) |
| 163W00000X Registered Nurse (Licence: DC RN1037800) | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-08-15 |