| NPI | 1730555814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP025261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014617) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN604883) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-03-14 |