| NPI | 1174800353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010526) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LJ0000301) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R182034) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000301) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024190248) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209009246) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024190248) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2025-12-02 |