| NPI | 1104346006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R183253) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MD R183253) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MD R183253) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-04-11 |