| NPI | 1154795706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP035730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015345) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2026-04-09 |