| NPI | 1043608698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R223275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014526) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R223275) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030240) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-08-16 |