| NPI | 1699319939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 246181) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN193667) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-03-29 |