| NPI | 1972153500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010333) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DE L1-0053019) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN533833) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-07-12 |