| NPI | 1972354801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500017022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R234904) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R234904) | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-09-25 |