| NPI | 1841400223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017176) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025399) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-03-14 |