| NPI | 1972760684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11008246) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2022-01-26 |