| NPI | 1790859197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP018831) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP018831) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SPOO7555) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-04-20 |