| NPI | 1578377578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1056621) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1056621) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2026-05-19 |