NPI | 1982330312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010820) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LG-0012028) |
Enumeration Date | 2022-07-27 |
Last Update Date | 2025-04-21 |