| NPI | 1902859903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19610) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1080) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APN000885) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61406667) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-05-17 |