| NPI | 1215478375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005081) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A005081) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: AR A005081) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2025-09-30 |