| NPI | 1477118180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ PA-8041) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8041) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 8041) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-12-20 |