| NPI | 1043861438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020696) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN645264) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35365) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-05-07 |