| NPI | 1962000935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R227517) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024182141) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1044249) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-12-29 |