| NPI | 1952014813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000245856) |
| 163W00000X Registered Nurse (Licence: PA RN714949) | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-08-07 |