| NPI | 1649821067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 383678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN704632) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP021028) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-09-24 |