| NPI | 1386524361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN200004143) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R249011) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP200004143) | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-11-07 |