| NPI | 1629836457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030741) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: PA RN699311) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-07-16 |