| NPI | 1538497110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3501) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN140008) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2019-07-15 |