| NPI | 1083667257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500003638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1686A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 113717) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1686A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-11-28 |