| NPI | 1295043735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP032389) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 741845) |
| 163W00000X Registered Nurse (Licence: PA RN727474) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 296467) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2025-03-11 |