| NPI | 1780983916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP014583) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9255349) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-12-06 |