| NPI | 1275567554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000127) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000345) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-26 |