| NPI | 1871937482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R202692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1025224) |
| 363L00000X Nurse Practitioner (Licence: DC RN1025224) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2024-11-06 |