| NPI | 1598316796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R220405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1037548) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R220405) | |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2023-03-31 |