| NPI | 1568048585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L80011067) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L80011067) |
| 163W00000X Registered Nurse (Licence: DE L1-0067103) | |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2026-04-06 |