| NPI | 1578427902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP034583) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024195542) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC008444) | |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-15 |