| NPI | 1730565250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026262) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016658) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP016658) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2022-10-03 |