| NPI | 1891967485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009767) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PA SP009767) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2025-03-18 |