NPI | 1710373923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7743) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP7743) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2022-10-18 |