| NPI | 1871554717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AR P01447) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR PO1447) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2022-05-02 |