| NPI | 1598159824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP014874) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-07-28 |