| NPI | 1134783954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 239522) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 11002100) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL AP141370) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 239522) | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-11-06 |