| NPI | 1831796549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 247597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN190374) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AZ RN190374) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AZ RN190374) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN190374) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN190374) | |
| 363L00000X Nurse Practitioner (Licence: AZ 247597) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 247597) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |