| NPI | 1477881548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R102922) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN55058) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 867940) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14865400) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184379) | |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2025-04-25 |