NPI | 1215292784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1056073) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1056073) |
163W00000X Registered Nurse (Licence: DC RN1056073) | |
163W00000X Registered Nurse (Licence: MD RN194537) | |
164W00000X Licensed Practical Nurse (Licence: MD R194537) | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2023-12-20 |