| NPI | 1184039968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5635) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-07-19 |