| NPI | 1003383688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181570) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2024-03-06 |