NPI | 1922347855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R236926) |
Additional Taxonomies | 251E00000X Home Health |
163W00000X Registered Nurse (Licence: DC 1052418) | |
Enumeration Date | 2013-02-13 |
Last Update Date | 2025-09-06 |