| NPI | 1386157857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R194691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD r194691) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184544) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-05-13 |