| NPI | 1063965077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TAP8850) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8850) | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-08-29 |