NPI | 1598209660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R221017) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD W17650383) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC np500025048) | |
Enumeration Date | 2016-12-08 |
Last Update Date | 2025-10-02 |