| NPI | 1194870691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010706) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA sp007829) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L-80010706) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2025-02-12 |