| NPI | 1083972970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R178470) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN1016390) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2022-03-25 |