| NPI | 1508279605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: AZ RN169760) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: AZ RN169760) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AZ RN169760) | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: AZ RN169760) | |
| 163WH0200X Registered Nurse Home Health (Licence: AZ RN169760) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |