| NPI | 1225559099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP034167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR19061900) |
| 163W00000X Registered Nurse (Licence: PA RN689236) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407981) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0011104) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2026-05-08 |