| NPI | 1285138024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018678) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 70933) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10413) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2026-04-30 |