| NPI | 1235844705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 317398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN-171456) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-02-04 |