| NPI | 1457662165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3694) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8518) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3694) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2018-10-25 |