| NPI | 1962458182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02022) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0050-02022) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-11-10 |