| NPI | 1437279064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10775) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10775) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 135549) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-09-18 |