| NPI | 1902837230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP022178) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA TP004933H) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP011634) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-10-04 |