| NPI | 1891051025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R226318) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-12-16 |