| NPI | 1932468568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 2023207226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1044909) |
| 163W00000X Registered Nurse (Licence: MD R227202) | |
| 164W00000X Licensed Practical Nurse (Licence: DC LPN1006138) | |
| 374U00000X Home Health Aide (Licence: DC HHA0571) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-04-12 |