| NPI | 1962762351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1041682) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R224845) |
| 374U00000X Home Health Aide (Licence: MD B-252-585-009-027) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2023-08-08 |