| NPI | 1790127991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500015907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194170) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21130) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 1802) | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-02-23 |