| NPI | 1851527949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP016419) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: PA RN314918L) |
| 163W00000X Registered Nurse (Licence: PA RN314918L) | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2025-07-16 |