| NPI | 1558877092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R227915) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R227915) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001274378) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1052490) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2023-04-19 |