| NPI | 1215415880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000162) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 66255) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP023449) | |
| Enumeration Date | 2018-08-05 |
| Last Update Date | 2023-03-23 |