NPI | 1699465575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10029585) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC007753) |
363LF0000X Nurse Practitioner, Family (Licence: DC NP500019192) | |
Enumeration Date | 2023-05-12 |
Last Update Date | 2025-10-02 |