| NPI | 1376635730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 3342) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN056795) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-04-06 |