| NPI | 1710575410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11017528) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209032306) |
| 163WH0200X Registered Nurse, Home Health (Licence: FL RN9523522) | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-11-11 |