| NPI | 1356642920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 843046) |
| 163W00000X Registered Nurse (Licence: AZ RN164853) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23139) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2025-01-03 |