| NPI | 1306859947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006728B) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN192790L) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-05-03 |