| NPI | 1194839852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP1818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 076714) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP1818) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-07-18 |