| NPI | 1548958960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1025010) |
| Additional Taxonomies | 251S00000X |
| 163W00000X Registered Nurse (Licence: DC 1025010) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-07-31 |