| NPI | 1063995447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 242009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011641) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2023-04-18 |