| NPI | 1790026706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013221) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012537) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010831) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2026-06-27 |