| NPI | 1902166630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |