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