| NPI | 1356696231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1041846) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 163W00000X Registered Nurse (Licence: DC RN1041846) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-08-11 |