| NPI | 1770840480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1045339) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024183447) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R227661) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-02-07 |