| NPI | 1639881808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R229572) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: DC RN20005787) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2025-08-28 |