| NPI | 1003396367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0001171) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DE L1-0032506) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-05-26 |