| NPI | 1285137604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN187135) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11401) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-01-07 |