| NPI | 1417624461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 334662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN188969) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2026-06-05 |