| NPI | 1982096418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP-8708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.17122-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8708) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2023-03-20 |