| NPI | 1750634606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R174433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015969) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R174433) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-01-22 |