| NPI | 1447444542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP027491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9259668) |
| 163W00000X Registered Nurse (Licence: SC 104198) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-01-04 |