| NPI | 1386480390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010661) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L8-0010661) |
| 163W00000X Registered Nurse (Licence: DE L1-0048472) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-09-20 |