| NPI | 1336834464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024191151) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2359085) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500019275) | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-09-10 |