| NPI | 1972238731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 278253) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN172593) |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2022-08-15 |