| NPI | 1295449627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 285905) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: AZ RN178422) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-05-25 |