| NPI | 1679945653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500004039) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500004039) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172876) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2026-08-11 |