| NPI | 1134607146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1015074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1015074) |
| 363L00000X Nurse Practitioner (Licence: DC NP1015074) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-11-21 |