| NPI | 1427412683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN1618984) |
| 163W00000X Registered Nurse (Licence: PA RN635802) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-08-27 |