| NPI | 1508265968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 282254) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN158457) |
| 363L00000X Nurse Practitioner (Licence: AZ 282254) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2024-02-07 |