| NPI | 1235656695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA SPO17445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SPO17445) |
| Enumeration Date | 2017-08-27 |
| Last Update Date | 2025-04-08 |