| NPI | 1487189056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN634572) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP017320) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2022-12-06 |