| NPI | 1831702513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 247312) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-08-21 |