| NPI | 1265044218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 250524) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 239003) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 250524) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-12-01 |