| NPI | 1265270227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047227) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-08-05 |