| NPI | 1629969142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010472) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP031670) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010741) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030920) | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |