NPI | 1942986641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1013365) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1013365) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R180887) | |
Enumeration Date | 2023-06-26 |
Last Update Date | 2024-09-04 |