| NPI | 1013416114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE 10977) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 10977) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2313580) | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2025-03-19 |