| NPI | 1588118095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R160275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1004337) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD r160275) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2020-01-15 |