| NPI | 1295122307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN167056) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7973) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-12-02 |