| 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 |