| NPI | 1164667739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3539) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3539) |
| 163WG0000X Registered Nurse, General Practice (Licence: AZ RN160953) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2020-07-22 |