| NPI | 1134078413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R245736) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024196732) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1047668) | |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-06-03 |