| NPI | 1851385207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8490) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP2271) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2255) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2018-06-07 |