| NPI | 1225399140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC CN221201806) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2025-04-23 |