| NPI | 1306375670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 247257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 194610) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5009828) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 78509) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-05-24 |