| NPI | 1376807412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC 1037457) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R214678) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2023-06-30 |