| NPI | 1215446091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10608) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-03-18 |