| NPI | 1033500756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 237598) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 305R00000X Preferred Provider Organization | |
| 385H00000X Respite Care | |
| 372600000X Adult Companion | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2025-12-09 |