| NPI | 1336591981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R140077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC rn66909) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-11-03 |