| NPI | 1174226682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1050197) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-12-27 |