| NPI | 1336505064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015515) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE LG-0001256) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA Sp015515) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP024773) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2022-05-25 |