| NPI | 1982060497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R185905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R185905) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R185905) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001237) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010330) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1015708) | |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2023-01-23 |