| NPI | 1194068866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC R1028341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC R1028341) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R203505) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2022-06-23 |