| NPI | 1073275889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN582518) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-04-23 |