| NPI | 1700557477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R208729) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61272824) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500125360) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-10-01 |