| NPI | 1497351548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24191804) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001279864) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-11-18 |