| NPI | 1568036382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1012847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R181718) |
| 163W00000X Registered Nurse (Licence: VA 0001299497) | |
| 163W00000X Registered Nurse (Licence: DC RN1012847) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003755) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2023-07-31 |