| NPI | 1366682494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR A009884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A003984) |
| 363LF0000X Nurse Practitioner Family (Licence: LA AP05728) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2022-01-12 |