| NPI | 1982685954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11154) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11153) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2019-02-19 |