NPI | 1851941199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R225403) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405519) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1043774) | |
Enumeration Date | 2019-09-18 |
Last Update Date | 2025-09-02 |