| NPI | 1528682036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ RNP247561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN161161) |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2020-09-21 |