| NPI | 1619206745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R170998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R170998) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1006812) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168530) | |
| Enumeration Date | 2009-12-20 |
| Last Update Date | 2016-04-14 |