| NPI | 1528895315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 230075) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MP NP22003) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 230075) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MP NP22003) | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |