| NPI | 1033090980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010846) |
| Additional Taxonomies | 208VP0000X (Licence: DE L8-0010846) |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-11-19 |