| NPI | 1902550387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R227019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R227019) |
| 163W00000X Registered Nurse (Licence: DC RN1035938) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1035938) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2024-07-30 |