| NPI | 1639560345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0045213) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011706) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2023-08-16 |