NPI | 1275187718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 229878) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 229878) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2025-06-13 |