| NPI | 1235977075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010686) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC006879) |
| 163W00000X Registered Nurse (Licence: DE L1-0070369) | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2026-04-20 |