| NPI | 1891051025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 118856) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R226318) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2025-03-30 |