| NPI | 1336570324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0010409) |
| Additional Taxonomies | 251E00000X Home Health (Licence: PA 20663601) |
| 251J00000X Nursing Care (Licence: PA 04970501) | |
| 363L00000X Nurse Practitioner (Licence: DE L8-0010409) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2023-10-06 |