| NPI | 1376505073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024126450) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004783) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP49342) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2025-05-07 |