NPI | 1659099026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: DC RN5000023898) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R159261) |
Enumeration Date | 2022-08-22 |
Last Update Date | 2025-06-20 |