| NPI | 1578844601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R263556) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN578488) |
| 363L00000X Nurse Practitioner (Licence: PA SP011515) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP011515) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SPO27315) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP011515) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2025-03-12 |