| NPI | 1730940537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000274371) |
| 163W00000X Registered Nurse (Licence: PA RN794369) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-12-30 |