| NPI | 1447545645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP4084) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8992) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-08-02 |