| NPI | 1619504867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R188409) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0011518) | |
| 363L00000X Nurse Practitioner (Licence: MD A00076224) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R188409) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-05-05 |