| NPI | 1376801118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1035293) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R233930) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: DC NP1035293) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R233930) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2025-11-13 |