| NPI | 1245999796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025772) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010286) |
| 363L00000X Nurse Practitioner (Licence: DE 000000000) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2025-09-10 |