| NPI | 1699023473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP012347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN585151) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2020-04-21 |