| NPI | 1225235005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8888) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 330479) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 832010) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 330479) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8888) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-09-29 |