| NPI | 1568159226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 252801) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: AZ 252801) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-04-09 |