| NPI | 1710343124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 226325) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN182180) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2021-06-01 |