| NPI | 1083202824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP023323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013819) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2024-04-23 |