| NPI | 1346617594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 218226) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95002442) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002442) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002442) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-08-01 |