| NPI | 1013330992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: AZ 5535) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: AZ 5535) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2024-02-13 |