| NPI | 1295403848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 335720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN212513) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2026-03-13 |