| NPI | 1760712913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R174454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1009772) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R174454) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2021-12-07 |