| NPI | 1609193671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1016394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R186255) |
| 163W00000X Registered Nurse (Licence: DC RN1016394) | |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2015-09-17 |