| NPI | 1811425432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP017477) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WV 89902) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN624232) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN89902-PMHNP-BC) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |