| NPI | 1013166859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN164884) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP0400326) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-11-07 |