| NPI | 1902060080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP4302) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP3084) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP4302) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: AZ AP3084) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP3084) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2023-06-10 |