| NPI | 1134597362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0000181) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014820) |
| 363LF0000X Nurse Practitioner Family (Licence: PA SP014820) | |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0001159) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00849300) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP022796) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00849300) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2021-10-29 |