| NPI | 1679081095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SPO18511) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: PA 2240242Q) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2025-01-24 |