| NPI | 1306859798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 664148) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 664148) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2016-12-05 |