| NPI | 1750849469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 223507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN185172) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2023-12-06 |