| NPI | 1063788925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0884) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA FNP 17175) |
| 363A00000X Physician Assistant (Licence: CA 19135) | |
| 101YP2500X Counselor, Professional (Licence: AZ CC-0836) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ AP0035) | |
| 363A00000X Physician Assistant (Licence: AZ 1630) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP0884) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-01-28 |