| NPI | 1790884542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA TP00343B) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA RN192536L) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-03-11 |