| NPI | 1396318911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 261120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 261120) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-07-30 |