NPI | 1043571508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R223602) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1042425) |
374U00000X Home Health Aide | |
Enumeration Date | 2012-05-31 |
Last Update Date | 2025-06-30 |