| NPI | 1356824304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN662613) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-11-05 |