| 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, Psych/Mental Health (Licence: AZ 271815) | 
| Enumeration Date | 2021-07-20 | 
| Last Update Date | 2022-04-05 |