| NPI | 1689745895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010789) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA RN294050L) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2023-11-17 |