| NPI | 1104414705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 251943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 329268) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2022-08-29 |