| NPI | 1144762543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP033763) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN325431L) |
| 163W00000X Registered Nurse (Licence: PA RN325431L) | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2025-10-09 |