| NPI | 1215292784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R194537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R194537) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1056073) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2025-03-27 |