| NPI | 1932754264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R221169) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178275) |
| 363L00000X Nurse Practitioner (Licence: DC NP1059971) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2026-05-12 |