| NPI | 1922828771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24193994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500014470) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001310166) | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-07-16 |