| NPI | 1639653645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2023206958) |
| Additional Taxonomies | 171W00000X Contractor |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: VA 2023206958) | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-02-28 |