| NPI | 1427780824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 286217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174366) |
| Enumeration Date | 2022-06-26 |
| Last Update Date | 2023-01-19 |