| NPI | 1861879322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP004274C) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA SP004274C) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |