| NPI | 1013776889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP030479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN696852) |
| 163W00000X Registered Nurse (Licence: NJ 26NR19493800) | |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2025-06-16 |