| NPI | 1225588767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP9029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ AP9029) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9029) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2026-07-03 |