| NPI | 1720825565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 315430) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95153418) |
| 163WE0003X Registered Nurse, Emergency (Licence: AZ RN164530) | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2026-08-18 |