| NPI | 1194128645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R223331) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1005489) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-04-12 |