| NPI | 1992571335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010535) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DE L1-0033104) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2025-05-12 |