| NPI | 1265003081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 258717) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD ACO04691) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202105379NP-PP) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2023-03-13 |