| NPI | 1043649767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001200) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE RXAPN4168) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2018-10-01 |