| NPI | 1306340310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 260365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993826) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 260365) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-03-07 |