| NPI | 1144567264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 265256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 810386) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 265256) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NV 810386) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2024-08-01 |