| NPI | 1487128849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP022825) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP022825) |
| 163W00000X Registered Nurse (Licence: PA RN649201) | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2025-10-08 |