| NPI | 1538792007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1024585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1024585) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R198781) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-09-17 |