| NPI | 1619476389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 277703) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112408) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 2041) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2024-04-12 |