| NPI | 1619319753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP5063) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5063) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5063) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2025-04-07 |