| NPI | 1053670968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP003354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4605) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11187) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4605) | |
| 163W00000X Registered Nurse (Licence: AZ 094553) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2025-03-26 |