| NPI | 1861266835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R239206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R239206) |
| 163W00000X Registered Nurse (Licence: DC RN1054227) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R239206) | |
| 207U00000X Nuclear Medicine (Licence: MD 030175) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1054227) | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-09-14 |