| NPI | 1831491059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 114985) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2021-07-22 |