| NPI | 1770142093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN1028739) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R194956) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-01-12 |