| NPI | 1386978781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022014834) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide (Licence: TX 801108670) | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2022-09-06 |