NPI | 1902166630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R211820) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1032611) |
374U00000X Home Health Aide | |
Enumeration Date | 2012-05-29 |
Last Update Date | 2020-02-26 |