| NPI | 1285420935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R272168) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193291) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 500025012) | |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-11-07 |