| NPI | 1730441825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP9846) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ TAP4506) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP4506) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2020-02-28 |