NPI | 1992310262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1057890) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1057890) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1057890) | |
Enumeration Date | 2020-09-13 |
Last Update Date | 2023-09-29 |