| 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 |