| NPI | 1568659753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP025421) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R176073) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R176073) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-08-22 |