NPI | 1285122408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ ap11453) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN179578) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2022-03-28 |