| NPI | 1588901094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP013904) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95013969) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401547) | |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2024-07-05 |