| NPI | 1467734954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5265) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5265) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5265) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP5265) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2024-03-13 |