NPI | 1730334293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2286) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10417) |
363LF0000X Nurse Practitioner, Family (Licence: UT 344124-4405) | |
Enumeration Date | 2008-11-25 |
Last Update Date | 2022-07-22 |