| NPI | 1518678390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R245076) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE LR-0010583) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186027) | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-06-05 |