| NPI | 1811034283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024666925) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9194715) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4495) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-07-01 |