| NPI | 1518582550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN627315) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP024376) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-09-13 |