| NPI | 1225570005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ RNP315038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN186954) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN186954) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2024-11-12 |