| NPI | 1548249782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP6062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN083932) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN083932) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2021-06-19 |