| NPI | 1609361492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11301) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AZ RN177811) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2021-08-18 |