| NPI | 1316272388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024168512) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95020386) |
| 363L00000X Nurse Practitioner (Licence: NV 847667) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 265580) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2025-11-25 |