| NPI | 1528551595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 237934) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112478) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 237934) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-02-09 |