| NPI | 1174690135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 289210) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7239) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-03-15 |