| NPI | 1215366497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AZ10825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AZ10825) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2022-08-25 |