| NPI | 1982111001 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN540064)  | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN540064)  | 
| Enumeration Date | 2018-01-10 | 
| Last Update Date | 2018-06-16 |