| NPI | 1841892593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ CNP-249922) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN202021) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95027503) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA RN95310089) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-09-14 |