| NPI | 1609630797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MO 2024003326) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2024003326) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO 2024003326) | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |