| NPI | 1376796953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP034130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN579371) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2025-10-20 |