| NPI | 1326642075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 238220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 238220) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |