| NPI | 1417329764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 060841-23) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP020642) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2024-01-05 |