NPI | 1922245729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 292078) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AZ RN116165) |
Enumeration Date | 2009-01-15 |
Last Update Date | 2024-12-06 |