| NPI | 1609341908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019383) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 346937) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 903943) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP019383) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2026-02-26 |