| NPI | 1265125355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027854) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PA 678572) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-03-13 |