NPI | 1740540202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500007507) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500007507) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R249743) | |
374U00000X Home Health Aide | |
Enumeration Date | 2012-05-17 |
Last Update Date | 2025-08-08 |