| NPI | 1447559596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ RN042055) |
| 363L00000X Nurse Practitioner (Licence: AZ AP3948) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2015-05-15 |