| NPI | 1801300470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1038980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R204826) |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2020-03-04 |