| NPI | 1841556883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024987) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA SP012036) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012036) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-04-04 |