| 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 |