| NPI | 1962201798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SOLEBO DAVIS Pmhnp 302-316-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |