| NPI | 1053726794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ TAP5663) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ TAP5663) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ TAP5663) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2025-01-17 |