| NPI | 1649549635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11281) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP4265) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4265) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP4265) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2026-06-02 |