| NPI | 1114549649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ PA-8696) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2023-09-27 |