| NPI | 1275894503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R205083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1029326) |
| 163W00000X Registered Nurse (Licence: MD R205083) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2023-02-17 |