| NPI | 1194356600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027611) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61042604) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ14922300) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-04-24 |