| NPI | 1689911075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1051589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1051589) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2023-12-21 |