| NPI | 1669768578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1045029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2220382) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2220382) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024174737) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-10-10 |