NPI | 1134784929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
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 | 2025-08-29 |