| NPI | 1841866860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 258805) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 258805) |
| 363L00000X Nurse Practitioner (Licence: AZ AG06210004) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2025-06-23 |