| NPI | 1124068952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2677) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP2677) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902459) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61446651) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-06-20 |