| NPI | 1881008258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 271946) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G181531) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A126717) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 271946) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-03-03 |