| NPI | 1043656721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012877) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP012877) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012877) | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2024-06-11 |