| NPI | 1659768307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP015352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN639940) |
| 163W00000X Registered Nurse (Licence: NJ 26NR17383000) | |
| 163W00000X Registered Nurse (Licence: DE L1-0045418) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2016-01-19 |