| NPI | 1356926455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R213801) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181084) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1037670) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2026-02-03 |