| NPI | 1427725670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 296696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN180794) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2023-09-21 |