| NPI | 1073650305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10753) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002231) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-04-25 |