NPI | 1447097647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 313512) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AZ RN206881) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN206881) | |
Enumeration Date | 2024-07-15 |
Last Update Date | 2025-10-02 |