| NPI | 1376808899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R220462) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: DC RN1016383) |
| 363L00000X Nurse Practitioner (Licence: DC NP1016383) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2025-11-14 |