| NPI | 1992530638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0010693) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: DE L8-0010693) |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: DE L8-0010693) | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2025-02-13 |