| NPI | 1831112432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP019008) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA UP003800-C) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP014802) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-10-29 |