| NPI | 1558010249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R211160) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN103917) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R211160) | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2024-03-17 |