| NPI | 1235485772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 555492-1) |
| 163W00000X Registered Nurse (Licence: PA RN762451) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR20502500) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-03-16 |