| NPI | 1689211302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1058804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R249603) |
| 163W00000X Registered Nurse (Licence: DC RN1058804) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 780183) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2022-01-18 |