| NPI | 1639430432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R222345) |
| Additional Taxonomies | 251S00000X |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2023-07-27 |