| NPI | 1588975387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2330934) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R173860) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1020092) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2022-02-16 |