| NPI | 1730543281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R224266) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-01-27 |