| NPI | 1508814468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 248672) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704118112) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 787483) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 248672) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-10-15 |