| NPI | 1275830192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024169575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169575) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC CN-1100338) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2336612) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004657) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN961903) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD AC004657) | |
| Enumeration Date | 2011-02-13 |
| Last Update Date | 2025-07-03 |