| NPI | 1023249877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ TAP7569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60034328) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-01-16 |