| NPI | 1083975619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R227512) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-12-06 |