| NPI | 1629532387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP221347) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 221347) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN169018) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2023-12-27 |