NPI | 1205175304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 236775) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174104) |
Enumeration Date | 2013-02-08 |
Last Update Date | 2021-06-21 |