| NPI | 1467680165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 260691) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: AZ 09-1122) |
| 208D00000X General Practice (Licence: AZ 09-1122) | |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-10-23 |