| NPI | 1760945752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 231224) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 855808) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 231224) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2024-08-12 |