| NPI | 1366068801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024196155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1049594) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1049594) | |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2026-06-19 |