| NPI | 1598326787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020756) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN661231) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11035976) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2026-03-23 |