| NPI | 1932571692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP11477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8231) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2020-07-14 |