| NPI | 1639413867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001059) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2025-04-16 |