| NPI | 1134669260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029203) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: DE l10049628) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010527) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2024-03-06 |