| NPI | 1790310506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R167785) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC R167785) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1006285) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-05-10 |