| NPI | 1255661294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN1058051) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD 193806) |
| 163W00000X Registered Nurse (Licence: NY 624985) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2021-10-15 |