| NPI | 1417094855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN963742) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN963742) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-03-04 |