| NPI | 1518503945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP234901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN126556) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2339231) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2339231) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-10-09 |