| NPI | 1891107322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 241588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241588) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP241588) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2025-04-22 |