| NPI | 1619220761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004531-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN094415) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 27630) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2022-09-20 |