| NPI | 1962385773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L8-0010879) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP033416) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC008632) | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-02-17 |