| NPI | 1245314871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN66266) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024180113) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R137718) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-10-26 |