| NPI | 1114478658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000976) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010370) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-03-05 |