| NPI | 1902311475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R229479) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1046889) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2024-01-02 |