| NPI | 1467992891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030792) |
| 163W00000X Registered Nurse (Licence: MN 2342300) | |
| 163W00000X Registered Nurse (Licence: DC 1035788) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9352475) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309721-01) | |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2025-05-30 |