NPI | 1801418249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 241004) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 241004) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2022-09-20 |