| NPI | 1740775444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024919) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA RN579397) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA NPPA058428) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-10-01 |