| NPI | 1346595162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1046479) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC001900) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306049-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024173710) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00379000) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-09-27 |