| NPI | 1598341877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 220014) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 220014) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 220014) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 220014) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 220014) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-09-06 |