| NPI | 1174886931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1025932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1025932) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-03-04 |