| NPI | 1922470905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1028826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1028826) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R203918) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2023-05-29 |