| NPI | 1275805335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000607) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191674) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC006337) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024191674) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010582) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R200507) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000607) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2025-05-14 |