| NPI | 1922339589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 58455) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9673) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 58455) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9673) | |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2025-08-04 |