| NPI | 1487851846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP003282B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE L1-0017321) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE 572959) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-12-14 |