| NPI | 1447431697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 316671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9181040) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9181040) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2025-02-28 |