| NPI | 1508212960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8575) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP8575) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8575) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-09-04 |