| NPI | 1841678943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8918) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP8918) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-03-06 |