NPI | 1033467394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ AP4609) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4609) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2023-02-24 |