| NPI | 1255688339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 227034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 140556) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-08-21 |