| NPI | 1629523949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0011045) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP034650) |
| 163W00000X Registered Nurse (Licence: DE L1-0072973) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2026-08-05 |