NPI | 1275948622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1025079) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1025079) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R197771) | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2024-03-04 |