| NPI | 1871014241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN126435) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10498) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-11-29 |