| NPI | 1881628360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1002805) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R163679) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R163679) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP1002805) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2026-09-16 |