| NPI | 1164108494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN101283) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AZ RN101283) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN101283) | |
| 171M00000X Case Manager/Care Coordinator | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |