NPI | 1508434598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ APRN-RNP328762) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN188399) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2025-09-18 |