| NPI | 1578738076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN64549-FNP-BC) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2022-02-17 |