| NPI | 1043579998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R215859) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2023-05-23 |