| NPI | 1326455635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5007008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007008) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1952) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8614) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2024-06-07 |