| NPI | 1255826731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029675) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP016209) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029675) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP016209) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-01-20 |