| NPI | 1427431576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA APRN11002106) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN11002106) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-02-08 |