| NPI | 1215296157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R217417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1044197) |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: DC NP1044197) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2025-01-07 |