| NPI | 1134784929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP033741) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020213) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-11-14 |