| NPI | 1538637657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 222456) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN146310) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 222456) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-06-27 |