| NPI | 1720337876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2277482) |
| 163W00000X Registered Nurse (Licence: PA RN699604) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2277482) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2022-07-21 |