NPI | 1982476222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 301031) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN137266) |
Enumeration Date | 2023-10-30 |
Last Update Date | 2025-09-19 |