| NPI | 1588117774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 294435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9337270) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 021289) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2023-11-07 |