| NPI | 1316597636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1046252) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1046252) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-08-23 |