| NPI | 1477967370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 274771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 107474) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-07-22 |