| NPI | 1760443022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009146) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA UP005246D) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-10-14 |