| NPI | 1306196340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP017036) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2012029010) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2012033115) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2017-02-08 |