| NPI | 1962120717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 320697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164705) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-04-16 |