| NPI | 1770662371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 123214) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-06-16 |