| NPI | 1821287392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA CNS000157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN249894L) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2023-01-24 |