| NPI | 1326188301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP7968) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 639527) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-05-31 |