| NPI | 1013474238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0001239) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP019995) | |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2022-10-28 |