| NPI | 1952640575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012704) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN516020L) |
| 363L00000X Nurse Practitioner (Licence: PA SP012704) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP012704) | |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2017-03-29 |