| NPI | 1215285804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R232196) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1031124) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174651) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2270393) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-02-03 |