| NPI | 1942811997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 227558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3248) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 227558) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3248) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2026-05-20 |