| NPI | 1174155089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 234331) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ 234331) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 234331) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 234331) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-09-11 |