| NPI | 1417500901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 238525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP020545) |
| 363L00000X Nurse Practitioner (Licence: AZ 238525) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020545) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-03-04 |