| NPI | 1962334169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN800462) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN.1709689) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1002410-NP) | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-09-04 |