| NPI | 1679016885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9650) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0100289-C-NP) |
| 363L00000X Nurse Practitioner (Licence: WA AP61195153) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1160775) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ 2022000650) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2025-01-29 |