| NPI | 1316207731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R234283) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP491188) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2024-12-12 |