| NPI | 1710114830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP016271) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6345) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA 308727L) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA 0366453-01) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2021-10-27 |