| NPI | 1619468139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R216983) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA13673) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-06-11 |