| NPI | 1376801118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R233930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD 2017036463) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R233930) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN1035293) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: DC RN1035293) | |
| 374U00000X Home Health Aide (Licence: DC 1894) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2023-07-18 |