| NPI | 1881283893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010713) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0011540) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-09-26 |