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 |