| NPI | 1457094419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN659912) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-01-16 |