NPI | 1083457774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1059356) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R243706) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R243706) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R243706) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R243706) | |
Enumeration Date | 2024-06-18 |
Last Update Date | 2025-08-27 |