| NPI | 1649235623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027629) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010691) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP-008596) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-04-10 |