| NPI | 1396243457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 259801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NH F12170225) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2022-11-30 |