| NPI | 1093207961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP031314) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN596952) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-01-15 |