NPI | 1457708638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8874) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8874) |
Enumeration Date | 2016-05-18 |
Last Update Date | 2024-12-10 |