| NPI | 1861507162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN-177885-L) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP-006699-B) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA RN-177885-L) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |