| NPI | 1033272414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008641) |
| 163W00000X Registered Nurse (Licence: PA RN204150L) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |