| NPI | 1700506565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 287482) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 29862) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 287482) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-02-10 |