| NPI | 1750901955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R230325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP200003026) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2025-01-09 |