| NPI | 1396224895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0038249) |
| 163W00000X Registered Nurse (Licence: PA RN606784) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010246) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-01-27 |