| NPI | 1063779361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC 500017337) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R252486) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2026-04-14 |