| NPI | 1205184538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R198716) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R198716) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1042180) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R198716) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2026-04-07 |