| NPI | 1366015067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: AZ RN214133) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 271815) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-04-05 |