| NPI | 1114349784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5292) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP5292) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ AP5292) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: HI 2110) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 2110) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2022-12-29 |