| NPI | 1770090599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9303984) |
| 163W00000X Registered Nurse (Licence: AZ RN212140) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-23 |