| NPI | 1891037255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN1027589) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R202245) |
| 163W00000X Registered Nurse (Licence: DC RN1027589) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-08-16 |