| NPI | 1689121931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP8960) |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2020-02-11 |