| NPI | 1689387631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 289135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 208983) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-03-14 |