| NPI | 1306217187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 220846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN192960) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2019-03-07 |