| NPI | 1891195509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP014143) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R187572) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R187572) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2018-07-09 |