| NPI | 1881256378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 235897) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AZ 165853) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 235897) | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2020-12-21 |