| NPI | 1528171899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04593) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-070234) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP04593) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 246516) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-01-18 |