| NPI | 1972040921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306603) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2021-07-15 |