| NPI | 1598659617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR259816) |
| 163W00000X Registered Nurse (Licence: PA RN785916) | |
| 363L00000X Nurse Practitioner (Licence: DE L8-0010904) | |
| 163W00000X Registered Nurse (Licence: DE L1-0073517) | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2026-09-01 |