NPI | 1710930185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP1834) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN124885) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2018-02-13 |